KEONNA MOFFETT LICSW
NPI 1871197814
Social Worker - Clinical in Renton, WA

Active since November 30, 2020
2715 NACHES AVE SW, RENTON, WA 98057(206) 630-1680(206) 630-1601 Get Directions Write a Review

NPPES record last updated: April 15, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Apr 15, 2021, Nov 30, 2020 (2 updates tracked since 2020).

About Keonna Moffett Licsw NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KEONNA MOFFETT LICSW (NPI 1871197814) is an individual clinical provider in Renton, Washington, licensed in Washington (LW60608715) and active in the NPI registry since November 2020.

NPPES Registry Identity

NPI1871197814
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameKEONNA MOFFETTCredential: LICSW
Location Address2715 NACHES AVE SWRenton, WA 98057-2627
Mailing Address4302 S 122nd StTukwila, WA 98178-3437 · (206) 725-0924
Fax(206) 630-1601
Sole ProprietorYes
Enumeration DateNovember 30, 2020
Last NPPES UpdateApril 15, 20212 updates tracked since enumeration
NPPES CertifiedApril 15, 2021
NPI 1871197814 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License Licensed in WA · LW60608715
Definition
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
2715 NACHES AVE SW, Renton, WA 98057

Other Providers at the Same Location NPPES 10

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Pharmacist
2715 NACHES AVE SW
RENTON, WA 98057
Internal Medicine (Cardiovascular Disease)
2715 NACHES AVE SW
RENTON, WA 98057
Internal Medicine
2715 NACHES AVE SW
RENTON, WA 98057
Pharmacist
2715 NACHES AVE SW
RENTON, WA 98057
Clinic/Center (Multi-Specialty)
2715 NACHES AVE SW, GSW-A1N-02
RENTON, WA 98057
Pharmacist
2715 NACHES AVE SW
RENTON, WA 98057
Pharmacy
2715 NACHES AVE SW
RENTON, WA 98057
Nurse Practitioner
2715 NACHES AVE SW
RENTON, WA 98057

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Keonna Moffett's NPI number?

The NPI number for Keonna Moffett is 1871197814. It was assigned to this individual provider in the NPPES registry on November 30, 2020.

Where is Keonna Moffett located?

Keonna Moffett practices at 2715 Naches Ave SW, Renton, WA 98057. The listed phone number is (206) 630-1680.

What is Keonna Moffett's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

When was this NPI record last updated?

The NPPES record for Keonna Moffett was last updated on April 15, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.